Mr Bruce Wynn, PA-C is a medicare enrolled "Physician Assistant" in Summerville, Georgia. He went to Medical University Of South Carolina College Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Harbin Clinic Llc and his current practice location is
11766 Highway 27, Suite A, Summerville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 734-2878.
Mr Bruce Wynn is licensed to practice in Georgia (license number 001146) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497865711.
Provider's Profile
| Full Name | Mr Bruce Wynn |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 48 Years |
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| Location | 11766 Highway 27, Summerville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bruce Wynn attended and graduated from Medical University Of South Carolina College Of Medicine in 1976
NPI Data:
- NPI Number: 1497865711
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406042597
- Enrollment ID: I20101201000865
Medical Identifiers
Medical identifiers for Mr Bruce Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497865711 | NPI | - | NPPES |
| 003126932A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 001146 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Harbin Clinic Llc | 0446154231 | 264 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bruce Wynn is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bruce Wynn, PA-C
221 Technology Pkwy Nw,
Rome, GA 30165-1369
Ph: (762) 235-1000 | Mr Bruce Wynn, PA-C
11766 Highway 27, Suite A,
Summerville, GA 30747-5989
Ph: (706) 734-2878 |
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